National Indian Justice Center
Tribal Transportation Safety Planning Project

1. Transportation Safety Planning Project Survey/Application

The National Indian Justice Center (NIJC) is conducting a project to assist California tribes with transportation safety and long-range transportation planning. The purpose of this survey is to gather information about tribal transportation planning needs and identify those tribes that would like to receive more information about our workshops, upcoming projects, and other transportation-related grant opportunities. Based on the results of the survey, NIJC tailors workshops, training sessions, and services to assisting tribes with their transportation planning needs.

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* 1. Name of Tribe:

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* 2. Bureau of Indian Affairs Region:
Check One.

Northern

Central

Southern

Not Applicable

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* 3. Tribe’s website address:

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* 4. Your Name:

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* 5. Your Title or Position:

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* 6. Your Phone Number:

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* 7. Your Email address:

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* 8. Mailing Address
(Street Number and Name or P.O. Box Number)

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* 9. Mailing Address
(City, State, and Zip Code):

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* 10. Has the Tribe completed any of the following long-range transportation or transportation-related plans?
(Select all answers that apply.)

Tribe has a long-range transportation plan. (Please provide the name and date of the plan in the comment box below)

Tribe has a long-range land-use plan with a transportation component. (Please provide the name and date of the plan in the comment box below)

Tribe has another type of transportation or transportation-related long-range plan. (Please provide the name and date of the plan in the comment box below)

Tribe has a transportation or transportation-related infrastructure or capital improvement plan. (Please provide the name and date of the plan in the comment box below)

Other. (Please provide the name and date of the plan in the comment box below)

N/A (Not Applicable).

* If the Tribe has completed any of the above plans, please provide the name or a description of the type of transportation or transportation-related plan and an estimated year of completion.

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* 11. Which, if any, is the Tribe actively engaged in developing or updating?
(Select all answers that apply.)

A long-range transportation plan.

A land use plan with a transportation component.

A transportation or transportation-related infrastructure or capital improvement plan.

Another type of transportation or transportation-related plan. (Please describe the type of plan that is being prepared in the comment field below).

N/A (Not Applicable).

If you checked "Another type" above, please describe the type of plan or plans that are being prepared.

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* 12. With regard to transportation safety planning, which of the following would be helpful for the Tribe:
(Please check the most applicable answer for each item listed.)

	Very helpful	Helpful	Somewhat helpful	N/A (not applicable)
Information about the purpose of a transportation safety plan.	Information about the purpose of a transportation safety plan. Very helpful	Information about the purpose of a transportation safety plan. Helpful	Information about the purpose of a transportation safety plan. Somewhat helpful	Information about the purpose of a transportation safety plan. N/A (not applicable)
Information about how to apply for a Federal Highway Administration (FHWA) Transportation Safety Planning Grant.	Information about how to apply for a Federal Highway Administration (FHWA) Transportation Safety Planning Grant. Very helpful	Information about how to apply for a Federal Highway Administration (FHWA) Transportation Safety Planning Grant. Helpful	Information about how to apply for a Federal Highway Administration (FHWA) Transportation Safety Planning Grant. Somewhat helpful	Information about how to apply for a Federal Highway Administration (FHWA) Transportation Safety Planning Grant. N/A (not applicable)
A new or updated Transportation Safety Planning Needs Assessment.	A new or updated Transportation Safety Planning Needs Assessment. Very helpful	A new or updated Transportation Safety Planning Needs Assessment. Helpful	A new or updated Transportation Safety Planning Needs Assessment. Somewhat helpful	A new or updated Transportation Safety Planning Needs Assessment. N/A (not applicable)
Training on how to prepare or assist in the preparation of a transportation safety plan.	Training on how to prepare or assist in the preparation of a transportation safety plan. Very helpful	Training on how to prepare or assist in the preparation of a transportation safety plan. Helpful	Training on how to prepare or assist in the preparation of a transportation safety plan. Somewhat helpful	Training on how to prepare or assist in the preparation of a transportation safety plan. N/A (not applicable)
Online access to roadway crash data for our Tribe.	Online access to roadway crash data for our Tribe. Very helpful	Online access to roadway crash data for our Tribe. Helpful	Online access to roadway crash data for our Tribe. Somewhat helpful	Online access to roadway crash data for our Tribe. N/A (not applicable)
Examples of safety plans completed by other Tribes.	Examples of safety plans completed by other Tribes. Very helpful	Examples of safety plans completed by other Tribes. Helpful	Examples of safety plans completed by other Tribes. Somewhat helpful	Examples of safety plans completed by other Tribes. N/A (not applicable)
A list of consultants who have experience in preparing Tribal transportation safety plans.	A list of consultants who have experience in preparing Tribal transportation safety plans. Very helpful	A list of consultants who have experience in preparing Tribal transportation safety plans. Helpful	A list of consultants who have experience in preparing Tribal transportation safety plans. Somewhat helpful	A list of consultants who have experience in preparing Tribal transportation safety plans. N/A (not applicable)
Training on how to prepare or circulate a Request For Proposals (RFP) to hire a consultant to prepare a transportation safety plan.	Training on how to prepare or circulate a Request For Proposals (RFP) to hire a consultant to prepare a transportation safety plan. Very helpful	Training on how to prepare or circulate a Request For Proposals (RFP) to hire a consultant to prepare a transportation safety plan. Helpful	Training on how to prepare or circulate a Request For Proposals (RFP) to hire a consultant to prepare a transportation safety plan. Somewhat helpful	Training on how to prepare or circulate a Request For Proposals (RFP) to hire a consultant to prepare a transportation safety plan. N/A (not applicable)
Technical assistance with writing a transportation safety planning document.	Technical assistance with writing a transportation safety planning document. Very helpful	Technical assistance with writing a transportation safety planning document. Helpful	Technical assistance with writing a transportation safety planning document. Somewhat helpful	Technical assistance with writing a transportation safety planning document. N/A (not applicable)
Technical assistance with reviewing or editing a draft Tribal transportation planning document.	Technical assistance with reviewing or editing a draft Tribal transportation planning document. Very helpful	Technical assistance with reviewing or editing a draft Tribal transportation planning document. Helpful	Technical assistance with reviewing or editing a draft Tribal transportation planning document. Somewhat helpful	Technical assistance with reviewing or editing a draft Tribal transportation planning document. N/A (not applicable)

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* 13. Would you like this survey to also serve as an application to receive services as part of the California Tribal Transportation Safety Planning Project? If you request to be included in the California Tribal Transportation Safety Planning Project, NIJC will contact you regarding upcoming training and workshops designed to assist in the preparation of Tribal Transportation Safety Plans or Long Range Transportation Plans. (Select one answer.)

Yes

N/A (Not Applicable)

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* 14. Does Tribe have a Transportation Safety Plan? (Select one answer.)

Yes

N/A (Not Applicable)

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* 1. Name of Tribe:

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* 2. Bureau of Indian Affairs Region:Check One.

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* 3. Tribe’s website address:

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* 4. Your Name:

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* 5. Your Title or Position:

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* 6. Your Phone Number:

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* 7. Your Email address:

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* 8. Mailing Address(Street Number and Name or P.O. Box Number)

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* 9. Mailing Address(City, State, and Zip Code):

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* 10. Has the Tribe completed any of the following long-range transportation or transportation-related plans?(Select all answers that apply.)

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* 11. Which, if any, is the Tribe actively engaged in developing or updating?(Select all answers that apply.)

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* 12. With regard to transportation safety planning, which of the following would be helpful for the Tribe:(Please check the most applicable answer for each item listed.)

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* 14. Does Tribe have a Transportation Safety Plan? (Select one answer.)

* 2. Bureau of Indian Affairs Region:
Check One.

* 8. Mailing Address
(Street Number and Name or P.O. Box Number)

* 9. Mailing Address
(City, State, and Zip Code):

* 10. Has the Tribe completed any of the following long-range transportation or transportation-related plans?
(Select all answers that apply.)

* 11. Which, if any, is the Tribe actively engaged in developing or updating?
(Select all answers that apply.)

* 12. With regard to transportation safety planning, which of the following would be helpful for the Tribe:
(Please check the most applicable answer for each item listed.)